Healthcare Provider Details

I. General information

NPI: 1487677555
Provider Name (Legal Business Name): HEALTHY CONCEPTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3427 FARR RD
FRUIT PORT MI
49415
US

IV. Provider business mailing address

3427 FARR RD
FRUIT PORT MI
49415
US

V. Phone/Fax

Practice location:
  • Phone: 231-865-6545
  • Fax: 231-865-6212
Mailing address:
  • Phone: 231-865-6545
  • Fax: 231-865-6212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SZATKOWSKI
Title or Position: OWNER
Credential:
Phone: 231-865-6545